DR. MARK ANTHONY LARUSSO D.D.S.
NPI 1558358960
Dentist - Oral and Maxillofacial Surgery in Norfolk, VA

Active since September 30, 2005PECOS Enrolled
1647 TAUSSIG BOULEVARD, NAVAL DENTAL CLINIC NORFOLK, NORFOLK, VA 23511(757) 953-8698 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Anthony Larusso D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK ANTHONY LARUSSO D.D.S. (NPI 1558358960) is an individual oral and maxillofacial surgery provider in Norfolk, Virginia, licensed in Virginia (0401411249) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558358960
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARK ANTHONY LARUSSOCredential: D.D.S.
Location Address1647 TAUSSIG BOULEVARD, NAVAL DENTAL CLINIC NORFOLKNorfolk, VA 23511-2896
Mailing Address2205 Leeway CtVirginia Beach, VA 23455-1699 · (757) 363-0321
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateSeptember 5, 2007
NPI 1558358960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in VA · 0401411249
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1647 TAUSSIG BOULEVARD, Norfolk, VA 23511

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark Anthony Larusso D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1647 TAUSSIG BOULEVARD
NORFOLK, VA 23511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Larusso's NPI number?

The NPI number for Mark Larusso is 1558358960. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Mark Larusso located?

Mark Larusso practices at 1647 Taussig Boulevard Naval Dental Clinic Norfolk, Norfolk, VA 23511. The listed phone number is (757) 953-8698.

What is Mark Larusso's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Mark Larusso enrolled in Medicare?

Yes. Mark Larusso is registered in the Medicare PECOS enrollment system.

What insurance does Mark Larusso accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Mark Larusso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Larusso was last updated on September 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.